Individual provider Active NPI

Jennifer C Canesi, NURSE PRACTITIONER

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1154638138
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN280283 Issued in MA
Practice address
9 Hawthorne PL Apt 9K
Boston, MA 02114-2325
Phone
(508) 566-5797
Fax
(617) 557-4140
NPI assigned
Sep 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN280283 MA Primary

Addresses

Primary practice location

9 Hawthorne PL Apt 9K
Boston, MA 02114-2325

Mailing address

9 Hawthorne PL Apt 9K
Boston, MA 02114-2325
Phone (508) 566-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN280283MAMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284163200000",
    "number": "1154638138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HAWTHORNE PL APT 9K",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142325",
            "telephone_number": "508-566-5797",
            "fax_number": "617-557-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAWTHORNE PL APT 9K",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142325",
            "telephone_number": "508-566-5797",
            "fax_number": "617-557-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANESI",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN280283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.